Objective To systematically evaluate the effects of different forms of traditional Chinese health-preservation exercises on osteoporosis(OP)using network meta-analysis.Methods A systematic search on Excerpta Medica Da...Objective To systematically evaluate the effects of different forms of traditional Chinese health-preservation exercises on osteoporosis(OP)using network meta-analysis.Methods A systematic search on Excerpta Medica Database(EMBASE),Springer Link,Allied and Complementary Medicine Database(AMED),PubMed,Cochrane Library,China National Knowledge Infrastructure(CNKI),Wanfang Academic Journal Full-text Database(Wanfang)and Chongqing VIP Database(CQVIP)targeted the randomized controlled trials(RCTs)studying traditional Chinese exercises for OP published up to January 2020.Cochrane handbook was adopted to estimate the publication bias in the included studies,and statistical analysis was performed using Stata 14.0 and GeMTC 0.14.3 when data were extracted.Results Fifty RCTs were included in the network meta-analysis,comprising a total of 4505 OP patients.The network meta-analysis showed that in terms of visual analog scale(VAS)for pain,Tai Ji Quan(Tai Chi)was the most efficacious,followed by Yi Jin Jing(Sinew-transforming Qigong Exercises),Ba Duan Jin(Eight-sectioned Exercise),Wu Qin Xi(Five-animal Exercises),sports training,drug and blank control;in terms of bone mineral density(BMD)of femoral neck,Yi Jin Jing was the most efficacious,followed by Wu Qin Xi,Ba Duan Jin,Tai Ji Quan,sports training,blank control and drug;regarding the lumbar BMD,it was Yi Jin Jing,Tai Ji Quan,Ba Duan Jin,Wu Qin Xi,sports training,blank control and drug in the descending order of efficacy;in terms of serum alkaline phosphatase,it was Yi Jin Jing,Tai Ji Quan,sports training,Wu Qin Xi,Ba Duan Jin,drug and blank control in the descending order of efficacy.Conclusion The evidence to date suggests that the first choice for OP amongst the traditional Chinese exercises should be Yi Jin Jing,which can not only reduce the subjective pain,but also promote bone formation and increase BMD,though this conclusion requires more high-quality large-scale RCTs for further proof.展开更多
Through long-term observations and repeated practices of human body structure,anatomical knowledge in ancient China has gradually developed from the sprouting period when ancient Chinese hunted animals for survival,to...Through long-term observations and repeated practices of human body structure,anatomical knowledge in ancient China has gradually developed from the sprouting period when ancient Chinese hunted animals for survival,to anatomical exploration,which breaks the shackles of fear and religious rites.For example,Hua Tuo(华佗),a famous doctor in the period of The Three Kingdoms,did exquisite abdominal surgery;Yan Luozi(烟萝子),a Taoist priest in the period of The Five Dynasties,drew a map of human anatomy;Wang Weiyi(王唯一),a medical official in Northern Song dynasty,was responsible for casting acupuncture bronze figures,an anatomical mold for practicing acupuncture;Song Ci(宋慈),a forensic expert in Southern Song Dynasty,wrote Xi Yuan Ji Lu(《洗冤集录》Collected Cases of Injustice Rectified);Wang Qingren(王清任),a physician in Qing Dynasty wrote Yi Lin Gai Cuo(《医林改错》Correction on Errors in Medical Works).Ancient Chinese anatomy is far ahead of Western anatomy in understanding and describing human body structures.It has made great contributions to the emergence of Huang Di Nei Jing(《黄帝内经》Huangdi's Internal Classic)and laid a solid foundation for the establishment of visceral manifestation theory and meridian and collateral theory.Even now,it has served the basic theory of traditional Chinese medicine and clinical practices.Anatomical knowledges,such as relevant operation records,books,Atlas,models in ancient China,especially the names of Zangorgan and Fu-organ,bones and five sense organs,are still used in modern anatomy and modern medicine,making indelible contributions to the development of modern anatomy in China.展开更多
文摘Objective To systematically evaluate the effects of different forms of traditional Chinese health-preservation exercises on osteoporosis(OP)using network meta-analysis.Methods A systematic search on Excerpta Medica Database(EMBASE),Springer Link,Allied and Complementary Medicine Database(AMED),PubMed,Cochrane Library,China National Knowledge Infrastructure(CNKI),Wanfang Academic Journal Full-text Database(Wanfang)and Chongqing VIP Database(CQVIP)targeted the randomized controlled trials(RCTs)studying traditional Chinese exercises for OP published up to January 2020.Cochrane handbook was adopted to estimate the publication bias in the included studies,and statistical analysis was performed using Stata 14.0 and GeMTC 0.14.3 when data were extracted.Results Fifty RCTs were included in the network meta-analysis,comprising a total of 4505 OP patients.The network meta-analysis showed that in terms of visual analog scale(VAS)for pain,Tai Ji Quan(Tai Chi)was the most efficacious,followed by Yi Jin Jing(Sinew-transforming Qigong Exercises),Ba Duan Jin(Eight-sectioned Exercise),Wu Qin Xi(Five-animal Exercises),sports training,drug and blank control;in terms of bone mineral density(BMD)of femoral neck,Yi Jin Jing was the most efficacious,followed by Wu Qin Xi,Ba Duan Jin,Tai Ji Quan,sports training,blank control and drug;regarding the lumbar BMD,it was Yi Jin Jing,Tai Ji Quan,Ba Duan Jin,Wu Qin Xi,sports training,blank control and drug in the descending order of efficacy;in terms of serum alkaline phosphatase,it was Yi Jin Jing,Tai Ji Quan,sports training,Wu Qin Xi,Ba Duan Jin,drug and blank control in the descending order of efficacy.Conclusion The evidence to date suggests that the first choice for OP amongst the traditional Chinese exercises should be Yi Jin Jing,which can not only reduce the subjective pain,but also promote bone formation and increase BMD,though this conclusion requires more high-quality large-scale RCTs for further proof.
文摘Through long-term observations and repeated practices of human body structure,anatomical knowledge in ancient China has gradually developed from the sprouting period when ancient Chinese hunted animals for survival,to anatomical exploration,which breaks the shackles of fear and religious rites.For example,Hua Tuo(华佗),a famous doctor in the period of The Three Kingdoms,did exquisite abdominal surgery;Yan Luozi(烟萝子),a Taoist priest in the period of The Five Dynasties,drew a map of human anatomy;Wang Weiyi(王唯一),a medical official in Northern Song dynasty,was responsible for casting acupuncture bronze figures,an anatomical mold for practicing acupuncture;Song Ci(宋慈),a forensic expert in Southern Song Dynasty,wrote Xi Yuan Ji Lu(《洗冤集录》Collected Cases of Injustice Rectified);Wang Qingren(王清任),a physician in Qing Dynasty wrote Yi Lin Gai Cuo(《医林改错》Correction on Errors in Medical Works).Ancient Chinese anatomy is far ahead of Western anatomy in understanding and describing human body structures.It has made great contributions to the emergence of Huang Di Nei Jing(《黄帝内经》Huangdi's Internal Classic)and laid a solid foundation for the establishment of visceral manifestation theory and meridian and collateral theory.Even now,it has served the basic theory of traditional Chinese medicine and clinical practices.Anatomical knowledges,such as relevant operation records,books,Atlas,models in ancient China,especially the names of Zangorgan and Fu-organ,bones and five sense organs,are still used in modern anatomy and modern medicine,making indelible contributions to the development of modern anatomy in China.
